Healthcare Provider Details

I. General information

NPI: 1598747636
Provider Name (Legal Business Name): SURGERY SPECIALISTS OF SOUTH BROWARD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 N FLAMINGO RD #265
PEMBROKE PINES FL
33028-1023
US

IV. Provider business mailing address

PO BOX 451985
SUNRISE FL
33345-1985
US

V. Phone/Fax

Practice location:
  • Phone: 954-450-1617
  • Fax: 954-450-8584
Mailing address:
  • Phone: 954-838-2565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LEWIS GOLD
Title or Position: PRESIDENT
Credential: M.D.
Phone: 954-838-2371